Organization
PRAIRIE RESIDENCE CARE, LLC
Active
Other names
Prairie Residenc Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADEN RASHID (OWNER)
(612) 461-2158
Entity
Organization
Contact information
Practice address
12570 CROWFOOT CT, EDEN PRAIRIE, MN 55344-3937
(612) 461-2158
Mailing address
12570 CROWFOOT CT, EDEN PRAIRIE, MN 55344-3937
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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